Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Mississippi State Hospital

Organization Nursing Facility/Intermediate Care Facility · NPI 1629394853

East Mississippi State Hospital is a Nursing Facility/Intermediate Care Facility in Meridian, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

4555 Highland Park Dr
Meridian, MS 39307-5429
Phone: (601) 581-7600
Fax: (601) 581-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 1034 (MS)

Record details

NPI number1629394853
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Mississippi State Hospital
Authorized official Charles Carlisle — Hospital Director · (601) 581-7878
Other names James T. Champion Nursing Facility; James T. Champion Nursing Facility
NPI enumeratedApril 13, 2010
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing addressPo Box 4128, Meridian, MS 39304-4128

Other providers in Meridian